Introduction Section
Thank you for your interest in the Kentucky Men's Soccer Program. Please fill out the following questionnaire as completely and accurately as possible.

For information about UK Soccer Camps, go to:
http://www.ukathletics.com/page/camps

Attending camp is a great way to guarantee yourself an evaluation by the Kentucky Men's Soccer Coaching Staff.

Personal Information
First Name:
Last Name:
Country:
Address Type:
Street Address:
City:
State:
Zip:
Grad Year:
Email Address:
Home Phone:
Mobile Number:
FaceBook:
Twitter:
@
Instagram:
@
What is your connection to this university:
Parent(s) Information
Parent 1's First Name:
Parent 1's Last Name:
Parent 1's Gender:
Parent 1's Occupation:
Parent 1's Email Address:
Parent 1's Cell Phone:
Parent 2's First Name:
Parent 2's Last Name:
Parent 2's Gender:
Parent 2's Occupation:
Parent 2's Email Address:
Parent 2's Cell Phone:
Academic Information
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School Name:
School Address:
School City:
School State:
School Zip:
School Phone#:
GPA:
SAT Test Date:
SAT Composite:
ACT Test Date:
ACT Composite:
TOEFL:
Class Rank:
Out Of
Intended Major:
Have you Joined the Eligibility Center?
Eligibility ID:
Club Information
Club Name:
Club Address:
Club City:
Club State:
Club Zip:
Club Coach:
Club Coach Cell:
Club Coach Office:
Club Coach Email:
Athletic Information
Height
Weight (in lbs.)
Jersey #


Positions
Soccer
Other Questions
Please identify your club team and coach: :
Would you like to add anything else?:
When you have completed this questionnaire please click submit questionnaire.
School Name:
OR :
State:
City:


Club Name:
Team Name:
Coach Last Name:
State:
City:


Club Name:
Team Name:
Club State:
Club Coach First Name:
Club Coach Last Name:
Club Coach Email:
Club Coach Mobile:

Do you still want to add the prospect?